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Active NPI 1952720369 Individual Practitioner Male Practitioner

Dr. Michael Benson , MD

Urology • Belleville, NJ

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Michael Benson, MD is a certified Urology practicing in Belleville, NJ. With approximately 12 years of clinical experience since graduating from Boston University School Of Medicine in 2014, Dr. Benson delivers high-quality medical care to the local community at 36 NEWARK AVE STE 200.

Dr. Benson is affiliated with Summit Medical Group Pa and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include automated urinalysis test, established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

36 Newark Ave Ste 200

Belleville, NJ 071094121

Telephone 9737596180
Fax 9737592006

Medicare Profile & Education

Medical School

Boston University School Of Medicine

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Belleville, NJ

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -17.7 yrs vs City Avg
City Avg: 29.7 Yrs
State Avg: 28.6 Yrs
Regional Practice Density
5 Specialists

Practicing in Belleville, NJ (474 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
74.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Benson (12 Years) 12 Yrs
Belleville Specialty Average (29.7 Years) 29.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
81003 Automated urinalysis test
465 245 $10.00 $2.20
99213 Established patient office or other outpatient visit, typically 15 minutes
365 215 $188.00 $99.24
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
355 130 $179.00 $83.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
288 170 $274.00 $137.72
76857 Limited ultrasound scan of pelvis
118 100 $168.00 $51.44
36415 Insertion of needle into vein for collection of blood sample
99 78 $15.00 $8.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
99 89 $336.00 $138.62
J0696 Injection, ceftriaxone sodium, per 250 mg
84 11 $2.00 $0.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
56 56 $412.00 $179.57
76775 Limited ultrasound scan behind abdominal cavity
52 45 $201.00 $64.55
52000 Diagnostic exam of bladder and urethra using an endoscope
44 39 $890.00 $263.09
87086 Bacterial colony count, urine
41 35 $33.00 $7.91
84153 Psa (prostate specific antigen) measurement, total
39 38 $76.00 $17.56
80053 Blood test, comprehensive group of blood chemicals
37 35 $40.00 $10.07
51741 Electronic assessment of bladder emptying
37 36 $292.62 $13.82
84154 Psa (prostate specific antigen) measurement, free
36 35 $76.00 $17.52
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
35 34 $32.00 $7.61
87088 Bacterial urine culture
34 30 $34.00 $7.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
32 32 $497.00 $182.14
76770 Complete ultrasound scan behind abdominal cavity
27 27 $393.11 $121.61
51700 Simple bladder irrigation and/or instillation
27 14 $350.00 $84.08
52281 Dilation of bladder canal (urethra) using an endoscope
21 20 $1143.00 $363.97
84403 Testosterone (hormone) level, total
21 20 $106.00 $25.29
84270 Sex hormone binding globulin (protein) level
21 20 $81.00 $21.30
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
19 18 $366.00 $191.26
51700 Simple bladder irrigation and/or instillation
19 13 $350.00 $31.56
74420 Imaging of urinary tract
16 14 $59.00 $25.61
52332 Insertion of stent in urinary duct (ureter) using an endoscope
16 14 $2500.00 $101.23
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution
15 14 $13.00 $8.42
87077 Bacterial culture for aerobic isolates
15 14 $33.00 $7.92
76856 Complete ultrasound scan of pelvis
13 13 $389.00 $118.01

Medical Specialties & State Licenses

CMS Verified: 2021-07-01
Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License NJ 25MA10533000

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
PENDING (NJ)

Hospital & Practice Group Affiliations

Summit Medical Group Pa

1 Diamond Hill Rd, Berkeley Heights, NJ 079222104

Phone: 9082734300

Secondary Practice Locations

185 S Orange Ave, Msb G530

Newark, NJ 071032757

Phone: 9739726639

799 Bloomfield Ave Ste 300

Verona, NJ 070441301

Phone: 9732391112

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dina Basdeo , APN

Nurse Practitioner - Family

NPI 1700766235

Advanced Practice Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2021

Urology (License #25MA10533000 in NJ)

📍
Updated Practice Location May 30, 2019

Registered at 36 NEWARK AVE STE 200, BELLEVILLE, NJ 071094121 (Tel: 9737596180)

📍
Updated Business Mailing Address May 30, 2019

Registered at 36 NEWARK AVE STE 200, BELLEVILLE, NJ 071094121 (Tel: 9737596180)

NPI Profile Active April 14, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location April 14, 2014

Registered at 185 S ORANGE AVE, MSB G530, NEWARK, NJ 071032757 (Tel: 9739726639)

📍
Updated Business Mailing Address April 14, 2014

Registered at 37 MARCELLA ST, BOSTON, MA 021191217 (Tel: 3055272370)

👤
Provider Name / Credentials Updated April 14, 2014

Recorded as MICHAEL BENSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2014

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 14, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952720369
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 14, 2014
Last Update: July 01, 2021
Sole Proprietor: No

Mailing Address

36 Newark Ave Ste 200

Belleville, NJ 071094121

Phone: 9737596180

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.